scholarly journals P18.01: A rare anomaly in twin pregnancy acardiac twin: the role of ultrasound diagnostic

2014 ◽  
Vol 44 (S1) ◽  
pp. 290-290
Author(s):  
Z. Tatic Stupar ◽  
M. Bogavac ◽  
D. Stajic
2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Suhaiza A ◽  
Che Anuar CY ◽  
Nik Zuky NL ◽  
Mokhtar A

Monoamniotic twin pregnancy is a rare type of twin pregnancy which poses risk of cord entanglement and sudden death of either one or both fetuses. The role of antenatal surveillance by Ultrasound Doppler for umbilical cord and ultrasonic evidence of cord entanglement or knotting may predict the pregnancy outcome but yet unavoidable. The discussion will include antenatal surveillance in this rare type of pregnancy.


2014 ◽  
Vol 2 (2) ◽  
pp. 77-80 ◽  
Author(s):  
MS Maherunnessa ◽  
Rahima Begum ◽  
Samsad Jahan ◽  
Shamsunnahar Bela ◽  
Syeda Riffat Binta Habib ◽  
...  

Acardiac anomaly is a rare complication of multiple pregnancies. It is a hemodyamically disadvantaged nonviable twin which occurs in association with a twin reversed arterial perfusion sequence (TRAP). In TRAP, blood flows from an umbilical artery of the pump twin in reverse direction into umbilical artery of the perfused (or acardiac) twin via an arterial to arterial (AA) anastomosis. Its blood is poorly oxygenated and results in variable degrees of deficient development of the head, heart, and upper limb structures. The lower half of the body is usually better developed, which may be explained by the mechanism of perfusion. The pump twin is at risk of heart failure and problems related to preterm birth with a reported mortality of 50-75%. We present a case of multiple pregnancy with acardiac twin in a 26 year old lady with gestational diabetes mellitus. During ante natal check up several ultrasonographic (USG) screening showed twin pregnancy with one healthy fetus and the other fetus with inconspicuous anatomy and structure. Repeat USG at 36th week of gestation diagnosed twin pregnancy with acardiac twin. Strikingly the pump twin did not develop the usual complications and was delivered by cesarean section at 37th week of gestation. DOI: http://dx.doi.org/10.3329/dmcj.v2i2.20529 Delta Med Col J. Jul 2014; 2(2): 77-80


1976 ◽  
Vol 31 (7) ◽  
pp. 534-535
Author(s):  
P. JOUPPILA ◽  
A. KAUPPILA ◽  
M. KOIVISTO ◽  
I. MOILANEN ◽  
O. YLIKORKALA

2017 ◽  
Vol 217 (1) ◽  
pp. 80.e1-80.e8 ◽  
Author(s):  
Amelia S. McLennan ◽  
Cynthia Gyamfi-Bannerman ◽  
Cande V. Ananth ◽  
Jason D. Wright ◽  
Zainab Siddiq ◽  
...  

Folia Medica ◽  
2014 ◽  
Vol 56 (2) ◽  
pp. 129-132
Author(s):  
Georgi I. Amaliev ◽  
Maria L. Malinova ◽  
Blagovest K. Pehlivanov ◽  
Hristina A. Ivancheva

Abstract Twin-reversed arterial perfusion sequence is a rare complication of monochorionic twin pregnancy in which an anomalous acardiac fetus is hemodynamically dependent on its structurally normal “pump” twin. Early diagnosis is essential for improving perinatal prognosis for the normal twin. In this case report we present a case of TRAP sequence with immense acardiac twin with favorable outcome, emphasizing the importance of ultrasound imaging, follow-up and timing of delivery in this complicated pregnancy.


Author(s):  
Lyn Z. A. Rabetsimamanga ◽  
Hary F. Rabarikoto ◽  
Maheriandrianina F. V. Rajaonarivony ◽  
Setriny M. Ravoavy ◽  
Hery R. Andrianampanalinarivo

TRAP syndrome is a rare complication of monochorionic twin pregnancy. It is characterized by the association of an acardiac twin with a healthy twin. The acardiac twin is a parasite who put the healthy twin at high risk of cardiac failure. We report a case in a 25-year-old Malagasy woman, primigravida, who had a consultation at gestational week 31 for significant dyspnea and a threat of premature delivery. Ultrasound scans discovered an acute polyhydramnios, fetus with anasarca and low cardiac activity, and a para-fetal mass. She gives birth to a male newborn and an acardiac twin without head an upper body. The first twin died short time after birth.


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